本文關鍵詞： 激痛點 經(jīng)穴 第三腰椎橫突綜合征 隨機對照試驗　出處：《江西中醫(yī)藥大學學報》2017年02期 　論文類型：期刊論文

【摘要】：目的:觀察針刺激痛點治療第三腰椎橫突綜合征的療效與安全性。方法:采用隨機單盲對照設計,選取78例第三腰椎橫突綜合征患者,隨機分為激痛點組和經(jīng)穴組,每組39例。激痛點組對患者進行激痛點觸診,依據(jù)患者疼痛部位,選取豎脊肌、多裂肌、腰方肌、髂腰肌、臀大肌、臀中肌、臀小肌、梨狀肌等相應肌肉的激痛點進行針刺;經(jīng)穴組取大腸俞、委中、腰三橫突阿是穴。兩組均1次/天,5天為1個療程,中間休息2天,治療4個療程后進行評價。觀察兩組患者治療前后和隨訪(只觀察治愈患者,治愈后6月)Owestry功能指數(shù)與VAS分值,不良反應發(fā)生率和評價療效。結果:(1)療效評價方面,激痛點組優(yōu)于經(jīng)穴組(P0.05);(2)兩組治療后Owestry功能指數(shù)較治療前明顯下降(均P0.05),且激痛點組優(yōu)于經(jīng)穴組(P0.05);但隨訪時Owestry功能指數(shù)經(jīng)穴組卻優(yōu)于激痛點組(P0.05);(3)兩組治療后VAS分值較治療前明顯下降(均P0.05),且激痛點組優(yōu)于經(jīng)穴組(P0.05);但隨訪時VAS分值經(jīng)穴組卻優(yōu)于激痛點組(P0.05);(4)激痛點組與經(jīng)穴組針刺不良反應發(fā)生率分別為12.8%(5/39)和5.1%(2/39),差異有統(tǒng)計學意義,但均為一過性,對癥處理后未再出現(xiàn)。結論:針刺激痛點能夠有效治療第三腰椎橫突綜合征,可以及時緩解疼痛、改善功能。
[Abstract]:Objective: to observe the efficacy and safety of acupuncture on the treatment of transverse process syndrome of the third lumbar vertebrae. Methods: 78 patients with transverse process syndrome of the third lumbar vertebra were randomly divided into two groups: excitatory pain point group and meridian point group. 39 patients in each group were treated with irritating pain point palpation. According to the position of pain, the muscles of erector spinal muscle, polyfissure muscle, psoas muscle, iliopsoas muscle, gluteus maximus muscle, gluteus medius muscle, gluteus minor muscle and piriformis muscle were selected for acupuncture. The acupoints group was treated with Dachang Yu, Beizhong, waist three transverse process Ashi points. The two groups were treated once a day for 5 days as a course of treatment, rest for 2 days, and evaluated after 4 courses of treatment. The patients in both groups were observed before and after treatment and followed up (only the cured patients were observed). In June, the scores of Owestry function index and VAS, the incidence of adverse reactions and the efficacy were evaluated. After treatment, the Owestry function index in the excitatory pain point group was significantly lower than that in the pre-treatment group (all P 0.05, and the excitatory pain point group was better than that in the meridian acupoint group, P 0.05), but the Owestry function index in the meridian group was better than that in the excitatory pain point group after treatment. Compared with before treatment, the incidence of side effects of acupuncture in the acupoint group and the meridian group was significantly lower than that before treatment (all P 0.05N, and the excitatory pain point group was better than that in the meridian point group (P 0.05), but the VAS score in the meridian acupoint group was better than that in the excitatory pain point group (P 0.05).) the incidence of side effects of acupuncture in the acupoint group and the meridian group was 12.80.39% and 5.10.39%, respectively, and the difference was statistically significant. Conclusion: acupuncture can effectively treat the third lumbar transverse process syndrome, relieve pain and improve the function in time.
【作者單位】： 大連理工大學醫(yī)院;遼寧中醫(yī)藥大學;
【基金】：沈陽市科技計劃項目(F14-232-6-03)
【分類號】：R246.9

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